Hepatic hydatid cyst: a non-surgical approach

Abstract

Echinococcosis/hydatidosis is common in societies where agriculture and livestock are frequent, and represents a public health problem. The therapeutic management depends on the cyst's characteristics, the patient, and surgical contraindications. Endoscopic retrograde cholangiopancreatography is a valuable tool in the diagnosis and treatment of complicated hepatic hydatid disease. Ultrasonography is a useful diagnostic, therapeutic and follow-up tool. The authors report a case of a 56 years old patient who was diagnosed with a hepatic hydatid cyst in the IVa/VIII segments, describe the therapeutic options and 50 months of disease-free follow-up.

Percutaneous treatment of liver hydatid cysts: to PAIR or not to PAIR

“…By both intervention fistulae between CE cyst cavity and biliary system ceased in a short period of time. Surgery is and alternative option for these cases [29,30].…”

“…It is important to extend the follow-up period up to 10 years. On follow-up US examinations, the size, volume, content and wall changes of the treated CE cyst should be evaluated [28,30,[32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47]. The healing criteria during the follow-up for the evaluation of the treatment effectiveness are described by an experimental study in sheep [28].…”